Addressing alcohol use and problems in mandated college students

A randomized clinical trial using stepped care

Brian Borsari, John Hustad, Nadine R. Mastroleo, Tracy O.Leary Tevyaw, Nancy P. Barnett, Christopher W. Kahler, Erica Eaton Short, Peter M. Monti

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Objective: Over the past 2 decades, colleges and universities have seen a large increase in the number of students referred to the administration for alcohol policies violations. However, a substantial portion of mandated students may not require extensive treatment. Stepped care may maximize treatment efficiency and greatly reduce the demands on campus alcohol programs. Method: Participants in the study (N = 598) were college students mandated to attend an alcohol program following a campus-based alcohol citation. All participants received Step 1: a 15-min brief advice session that included the provision of a booklet containing advice to reduce drinking. Participants were assessed 6 weeks after receiving the brief advice, and those who continued to exhibit risky alcohol use (n = 405) were randomized to Step 2, a 60-to 90-min brief motivational intervention (n = 211), or an assessment-only control (n = 194). Follow-up assessments were conducted 3, 6, and 9 months after Step 2. Results: Results indicated that the participants who received a brief motivational intervention showed a significantly reduced number of alcohol-related problems compared to those who received assessment only, despite no significant group differences in alcohol use. In addition, low-risk drinkers (n = 102; who reported low alcohol use and related harms at 6-week follow-up and were not randomized to stepped care) showed a stable alcohol use pattern throughout the follow-up period, indicating they required no additional intervention. Conclusion: Stepped care is an efficient and cost-effective method to reduce harms associated with alcohol use by mandated students.

Original languageEnglish (US)
Pages (from-to)1062-1074
Number of pages13
JournalJournal of Consulting and Clinical Psychology
Volume80
Issue number6
DOIs
StatePublished - Jan 1 2012

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Randomized Controlled Trials
Alcohols
Students
College Students
Alcohol
Clinical Trials
Pamphlets
Drinking
Costs and Cost Analysis
Therapeutics

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Borsari, Brian ; Hustad, John ; Mastroleo, Nadine R. ; Tevyaw, Tracy O.Leary ; Barnett, Nancy P. ; Kahler, Christopher W. ; Short, Erica Eaton ; Monti, Peter M. / Addressing alcohol use and problems in mandated college students : A randomized clinical trial using stepped care. In: Journal of Consulting and Clinical Psychology. 2012 ; Vol. 80, No. 6. pp. 1062-1074.
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Addressing alcohol use and problems in mandated college students : A randomized clinical trial using stepped care. / Borsari, Brian; Hustad, John; Mastroleo, Nadine R.; Tevyaw, Tracy O.Leary; Barnett, Nancy P.; Kahler, Christopher W.; Short, Erica Eaton; Monti, Peter M.

In: Journal of Consulting and Clinical Psychology, Vol. 80, No. 6, 01.01.2012, p. 1062-1074.

Research output: Contribution to journalArticle

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